Microbiota of GI tract Flashcards

1
Q

Why does transit time affect bacterial populations in different parts of the GI tract

A

Due to different bacterial growth rates

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2
Q

Transit time of food in the mouth

A

1 min max

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3
Q

Transit time of food in the oesophagus

A

4-8 secs

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4
Q

Transit time of food in the stomach

A

2-4 hrs

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5
Q

Transit time of food in the LI

A

10 hrs - several days

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6
Q

As you go down the GI tract, there’s more…

A

Bacteria

Esp obligate anaerobes because less oxygen the further down you go

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7
Q

What are facultative anaerobes + where are they found + what pH they live in

A

Grow in presence and absence of oxygen

Found in the stomach, existing at pH 1.5 - 4

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8
Q

Name some facultative anaerobes

A

Lactobacillus

H.pylori

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9
Q

What are obligate anaerobes + where are they found + what pH they live in

A

Can’t grow in presence of oxygen

Found in the colon at pH 5.5 - 6.5

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10
Q

Name some obligate anaerobes

A

Bacteroides
Clostridium groups
Enterobacteraceae

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11
Q

pH of mouth

A

6.5 - 7.5

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12
Q

pH of duodenum

A

7-8.5

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13
Q

Main function of gut microbes

A

Metabolise undigested dietary components, e.g. fibre which is not digested in stomach/SI

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14
Q

3 ways gut microbes can defend against pathogens

A

Acting as a barrier - to prevent pathogen colonisation

Active competitive exclusion - commensal bacteria can produce active compounds to kill pathogens

pH inhibition - pathogens generally grow best at ph>6, proximal colon has pH 5.5 but distal colon pH 6.5

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15
Q

More risk of pathogen colonisation in proximal or distal colon + why

A

proximal colon has pH 5.5 but distal colon usually pH 6.5 so MORE RISK OF PATHOGEN COLONISATION IN DISTAL COLON as pathogens grow best at ph>6

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16
Q

Functions of bacteria in the GI tract (6)

A
Metabolise undigested dietary components
Defend against pathogens
Produce essential metabolites, e.g. short chain fatty acids
Modify host secretions, e.g. bile
Develop immune system
Control host signalling
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17
Q

Function of E. rectale & F. prausnitzii

A

Produce butyrate ( a SCFA)

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18
Q

Function of megasphaera

A

Produce propionate ( a SCFA)

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19
Q

Function of bactericides

A

Utilise acetate

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20
Q

Functions of bifidobacteria (2)

A

Utilise prebiotics

Produce lactate

21
Q

Functions of lactobacilli (2)

A

Produce lactic acid

Degrade mucin

22
Q

High bacterial diversity is a biomarker of what

A

Good health

23
Q

Products of microbial fermentation (5)

A
Short chain fatty acids/ branched chain fatty acids
Phytochemicals
Gases - CO2, H2, CH4
Other metabolites
Minerals
24
Q

3 main short chain fatty acids from carbohydrate metabolism

A

Butyrate
Proprionate
Acetate

25
Q

Function of butyrate (a SCFA)

A

involved in epithelial cell growth

26
Q

Function of propionate

A

involved in gluconeogenesis

27
Q

Function of acetate

A

transported in blood to peripheral tissues, involved in lipogenesis

28
Q

Rate of butyrate:propionate:acetate

A

1:1:3

29
Q

Bacterial in proximal colon ferment more carbohydrate/protein while bacteria in distal colon ferment more carbohydrate/protein

A

Carbohydrate

Protein

30
Q

Dysbiosis of gut microbiotia disrupts what which leads to what

A

Disrupts homeostasis –> gut inflammation

31
Q

Dietary fibre improves what

A

Faecal bulking resulting in shorter transit time in colon

32
Q

Fermentation of fibre by bacteria leads to what

A

Release of additional phytochemicals
Maintains acidic pH - to resist pathogens
Increases commensal bacteria
Essential supply of SCFAs

33
Q

Babies have low or high bacterial diversity

A

Low

34
Q

Difference between causation and correlation with respect to microbes and disease

A

Microbial dysbiosis could be a cause of gut disease but it could also be the gut disease that’s causing microbial dysbiosis

35
Q

Name some infections/disease that are caused by microbial dysbiosis (i.e. usually these bacteria live asymptomatically) (4)

A

MRSA (Staph aureus) infection
Streptococcus throat infection
C. diff infection
Gastritis/ Gastric cancer- H.pylori

36
Q

Inflammation in IBD is most likely due to what in regards to microbiota and immune response

A

Dysregulated immune response to gut microbiota

37
Q

Evidence has shown that there’s reduced bacterial diversity in crohn’s or UC

A

Crohn’s

38
Q

In crohn’s there may be elevated levels of what type of bacteria

A

Enterobacteriaceae

39
Q

How do features of IBD itself have an impact on microbiota (4)

A

Antibiotic use - reduces bacterial diversity
Inflammation - decreases mucus barrier –> more oxygen exposure –> changes microbial composition
Diarrhoea - decreased transit time altering microbial composition
Diet - desire to eat less fibre –> changes microbial composition

40
Q

Effect of antibiotics on gut microbiota

A

Reduce bacterial diversity
-creates selection pressure (loss of diverse bacteria, left with just a few species) resulting in the increase and spread of a bacterial resistance

41
Q

Effect of broad spectrum antibiotics on bacteria

A

kill pathogenic bacteria AND kill many of the commensal, resident bacteria that may be important for health

42
Q

What are probiotics

A

live micro-organisms conferring health benefit when administered adequately, e.g. Bifidobacterium

43
Q

Frequent functions of probiotics (3)

A

Bioconversion
Antagonistic to pathogens
Stimulate immune system

44
Q

What are probiotics

A

substrate used by host bacteria (food for bacteria) conferring health benefit, e.g. garlic

45
Q

Probiotics can potentially be used to treat what disease

A

reduce incidence of C. diff associated diarrhoea

46
Q

How may prebiotics may be helpful in IBD

A

IBD to boost numbers of Faecalibacterium prausnitzii so enhancing production of anti-inflammatory protein and reducing effects of IBD

47
Q

Function of Faecalibacterium prausnitzii (F. prausnitzi)

A

production of anti-inflammatory protein

48
Q

Potential functions of prebiotics (4)

A

Improve gut function by increasing faecal bulk
Reduce risk of colon cancer by reducing DNA damage
Used in infant formula to increase bifidobacteria numbers
Increase calcium absorption

49
Q

Explain why FMT (faecal microbial transplantation) may be more effective in treating recurrent C. difficile infection than other GI diseases

A

Faecal sample from healthy donor transplanted and repopulates microbiota of colon, displacing C. diff and preventing re-infection

may not work in other GI diseases because success depends on whether any microbiota is present/absent
-In c. diff infection, majority of microbiota is destroyed which allows FMT to work